or Connect
New Posts  All Forums:Forum Nav:

Birth Plan

post #1 of 6
Thread Starter 
Ok So I remember seeing this topic way back when (not sure here or Oct ddc) but clock is ticking and I haven't made one yet. (37 weeks now) I always have a hard time getting something like that started, so would anyone like to share theirs?

My plan is a natural birth at the hospital. I'm going to assume it's going to happen fast like my first one. I hope to labor even longer at home this time around. Last time when went back to the hospital I was 10cm and crowning no time for anything, had to wait for Dr in order to push her out. I was just happy to go natural. Even if I started to break down in the car ride back to the hospital thinking if I wasn't even close I'd get an EPI. But this time DH says we are going to hospital at 7cm, like we are really going to know when that is. (I'm not good, nor know how to check self) I just know I was having hard cntx 3 min apart and was only 1-2cm when we went in the first time then to be sent home to try to sleep. It was when I woke up, less than 4 hrs later, my water broke, and I couldn't walk with cntx 1 min apart then knew it was time to go back to hospital.

Ok so I took my dd 2yrs old to the hospital this week to show her where Mommy would be when brother arrives. I happened to talk to a nurse and asked if I could refuse an IV (thinking if come into hospital less than 10cm again) she said to talk with my Dr, but that they still like to prep for one in case of an emergency. Well I know my Dr. is ok with going natural and I have yet to clarify the being hooked up to an IV ... she did say hooked up to monitors is hospital policy, but that can be done intermintly (sp?). So ok even though hated the thumb hook up for my bp, attached to the bed/ monitors was not comfortable. (that was the first time into hospital before sending me home) Ok so next appt I will discuss more in depth (i hope) about needing to be preped for an IV or not. Meanwhile, this leads me to want to have ready a birth plan that can be put in my records that will be at the hospital too. Any suggestions how to include that in a birth plan? (without rambling like I am now, HA!)
post #2 of 6
Regarding those two things in particular, this is what mine (used for my son and on file at the hospital with my doc's signature for this baby) says:

I would like to be able to have fluids by mouth throughout the first stage of labor, and would like to avoid an IV unless I become dehydrated.

Please use a fetoscope or doptone as a first means of monitoring the baby whenever possible. I would prefer to avoid continuous fetal monitoring unless it is required by the condition of our baby, and would prefer internal monitoring left as a last resort.


I had no problem with either request. I did the initial 10 minute strip when I got there (my water broke, it took us an hour to get to the hospital, and I was 3+ at the time), and if I was sitting/laying down, they would do the strap-on monitors. Otherwise, they used a doppler - and when I was in the tub and they couldn't get the underwater one to work, they skipped it. I also never had an IV.
post #3 of 6
Sorry for the long response, but here ya go!!!

Quote:
Originally Posted by mama_rad View Post
I happened to talk to a nurse and asked if I could refuse an IV (thinking if come into hospital less than 10cm again) she said to talk with my Dr, but that they still like to prep for one in case of an emergency. Well I know my Dr. is ok with going natural and I have yet to clarify the being hooked up to an IV ... she did say hooked up to monitors is hospital policy, but that can be done intermintly (sp?). So ok even though hated the thumb hook up for my bp, attached to the bed/ monitors was not comfortable.
Frantically wrote one up yesterday because we were meeting with a MW that could possibly be on rotation when we deliver (California: Kaiser Health plan, who delivers will be whoever is on duty) and wanted to go over with her what might be different from the hospital's "standard" policy.

To answer a couple of your questions above, what is really significant is the nurse said they LIKE to prep. That is THEIR preference but CAN NOT make you (at least that has been MY experience) if you specifically say, NO IV PREP. Of course it's easier for them to have it all done. My MW even said, "well, it's good to have it in and ready in case of an emergency, blah blah blah"... but in case of emergency, hello, they will get it in (think of all the emergency IVs EMTs and emergency room personelle put in daily!!)!
I was glad I didn't have one in last time because in a moment of weakness, I said, "I can't do this, I need drugs". They couldn't get the IV in easily/quickly and as they tried again I realized, "stop, I need to push!!!"

Hooking up to monitors: My hospital policy is as long as you are not high risk preg, 10 minutes per hour they want you hooked up. Of course it is easier for THEM if you stay hooked up the whole time so they don't have to do it over and over again, but again, we are talking about THEIR comfort, not yours. I'm asking not to be hooked up and in fact am even looking into alternatives for fetal monitoring besides the belt because it really threw me off in my relaxation last time. I realize it may be a battle I won't win, but I WILL NOT have it on other than those 10 minute intervals.

Other things I addressed in my BP (that I think would be different from standard hospital policy or practices):
-Do NOT OFFER me drugs. I will let you know if I want to go there.
-Minimal number of vaginal exams
-Allow me to breath baby down and let body naturally pulsate baby down birth canal: no coaching or telling me to "push" (we are doing HypnoBirthing so this is part of that training)
-Wait for natural placenta delivery, NO CORD TRACTION
-Allow vernix to be absorbed into baby's skin, delay "cleaning or rubbing"
-NO antibiotic ointment in baby's eyes, NO Vitamin K (unless traumatic birth), No Hep B shot (I recommend doing your own research on these and making up your own mind-There isn't even a form we can complete before hand to not have this done, we have to tell them right then and there and then diligently watch to be sure it isn't done anyway)
-Breastfeeding only, NO bottles, formula, pacifier or artificial nipples.

Some other things, like place baby on mother's body immediately for skin to skin contact is standard practice in the hospital I'm delivering in so I won't leave it in BP although right now it is in there. Asking alot of questions during the hospital tour is really important because so much of these things are really done by the nurses or midwives if you hospital provides these like mine(Dr only shows up very last minute!!). Having your doctor sign off on it ahead of time and bringing a signed off copy is a good idea.

Sorry this is so long. Feel free to PM me if you want a copy of the whole enchilada.
post #4 of 6
Here is mine so far, I might add more later:

-If I go past my due date and the baby and I are fine, I prefer to go into labour naturally, rather than being induced.

-I prefer minimal vaginal exams

-I would like the option of staying in the hospital regardless of my dilation (because we live 2 hours away)

-I would like my partner with me at all times.

-If available I would like to use a birthing ball, birthing tub or shower!

-I prefer to have no IV, no Meds, no enema and no episiotomy.

-After the baby is born I would like the baby to be placed on my abdomen.

-Please do not bath my baby because I would like the baby's natural vernex to continue to soften and protect the skin.

-If a c-section is needed please make sure my partner is present at all times. I would like to remain conscious during the c-section. I would also like the baby to be shown to me immediately after it is born. I prefer a low transverse incision on my abdomen and uterus.

-I would like for the placenta to be born spontaneously without the use of pitocin or manual extraction. (to prevent hemmoraging)

-I prefer to wait until the umbilical cord stops pulsating before it is clamped or cut.

-If the baby has any problems I would like my partner to be present with the baby at all times.

-Please do not circumcise him or retract the foreskin in any way.

-My baby is be exclusively breastfed. Do not off my baby formula, pacifiers, sugar water etc.

-I would like my other children (regardless of age) to be allowed to visit with me for as long as I wish during and after labour.

-Please keep communication open. If at all possible please wait for my consent or that of my partner before initiation ANY procedure.

Hope this helps!
post #5 of 6
Thread Starter 
Thanks for the great tips (not much time to reply right now ...) None of them are too long, they are very helpful and yet makes me a little more "panic" I better start one tomorrow (got a cold from dd, so not feeling good today) I will reread this when I'm feeling better and have more time ... keep them coming! THanks again!
post #6 of 6
Thread Starter 
Well I have finally started a birth plan draft from everyone's advise. I couldn't sleep once again so figured best time to get one started. I have a Dr. appt today so I hope to take in something to show her / or put in my file. Only 2 weeks to go!
New Posts  All Forums:Forum Nav:
  Return Home
  Back to Forum: November 2006